Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Armed Forces Europe (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Carlina Madelaire (NPI 1649220781)

Field	Value
Entity Type	Individual
Organization	Carlina Madelaire
Address	Landstuhl Regional Medical Center
City	Apo
State	AE (Armed Forces Europe)
ZIP	09180
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicare	$12.6K
Medicaid	$0

Key Findings

CARLINA MADELAIRE is a pathology specialist (Anatomic Pathology & Clinical Pathology Physician) enumerated on 2006-05-11 (~20 years ago) with total Medicare revenue of $12.6K and no Medicaid billing on file. The lack of any Medicaid claims makes this effectively a Medicare-only billing profile in the dataset.

The provider’s CPT mix is concentrated in surgical pathology and ancillary pathology services: high-use surgical pathology codes (88305, 88307) are present alongside immunohistochemistry codes (88341, 88342) and a cytopathology code (88112). This pattern is consistent with a practice that performs diagnostic histopathology with adjunctive immunostains rather than broader clinical services or procedures.

Revenue concentration is high: the top 3 Medicare codes by revenue account for 84.3% of this provider’s total Medicare revenue, and a single code, 88305, represents $7.2K or 58.0% of Medicare revenue. That concentration indicates the practice’s Medicare billing is driven primarily by a small set of surgical pathology services.

Payer mix is effectively single-payer on file: $12.6K of lifetime revenue is recorded from Medicare while there is none for Medicaid. In practical terms, the provider’s publicly reported billing activity is centered on Medicare beneficiaries.

Competitive standing on top codes is modest nationally: 88305 ranks #9789 of 14580 (33th percentile) and is described as typical, unremarkable volume for this code; 88307 ranks #7442 of 8511 (12th percentile) and is likewise typical, unremarkable volume for this code. Immunohistochemistry codes 88341 (rank #8887 of 10274, 13th percentile) and 88342 (rank #9045 of 11370, 20th percentile) also fall in low-to-mid national percentiles, indicating the provider is not a dominant national player on these pathology services.

Claim counts show the operational mix: 88305 accounts for 267 claims, 88341 for 73 claims, 88342 for 46 claims and 88112 for 38 claims, with corresponding average paid/claim amounts of $27, $21, $26 and $20 respectively. These volumes and low average paid/claim levels are consistent with routine anatomic pathology throughput rather than high-revenue procedure lines.

From a business perspective, the combination of small total Medicare revenue ($12.6K), high revenue concentration in a few pathology codes, and no Medicaid billing suggests limited Medicare-facing volume or a narrow scope of billed services. This profile could reflect a small or part-time pathology practice, a contracted/subspecialty role focused on surgical pathology cases, or limited payer enrollment; in any case, expansion of payer mix or increased case volume would be required to materially grow billed revenue.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	270	$30	$7.2K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	30	$60	$1.7K
88341	The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…	70	$20	$1.5K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	50	$30	$1.2K
88112	Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…	40	$20	$760

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Carlina Madelaire — 0 of 0 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Median Claims	Avg Paid	Average Revenue
88112	1	N/A	$N/A	$N/A
88305	4	N/A	$N/A	$N/A
88307	4	N/A	$N/A	$N/A
88341	3	N/A	$N/A	$N/A
88342	3	N/A	$N/A	$N/A

Related Providers

Other providers that share a Tax Identification Number (TIN) with Carlina Madelaire, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Carter	AL	Anatomic Pathology & Clinical Pathology Physician	$167.5K	$0
Jeffrey Lin	DC	Gynecologic Oncology Physician	$91K	$0
Jacek Polski	AL	Hematology (Pathology) Physician	$31.1K	$0
Eric Wei	AL	Anatomic Pathology & Clinical Pathology Physician	$13.3K	$0
Guillermo Herrera	AL	Anatomic Pathology & Clinical Pathology Physician	$12K	$0

Nearby Providers

Other providers in the same ZIP code as Carlina Madelaire, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jude Momodu	AE (Armed Forces Europe)	Family Medicine Physician	$42.8K	$86.6K
Matthew Brice	AE (Armed Forces Europe)	Emergency Medicine Physician	$60.1K	$0
Steve Louvet	AE (Armed Forces Europe)	Emergency Medicine Physician	$11.6K	$40.3K
Katherine Cooper	AE (Armed Forces Europe)	Occupational Therapist	$48.9K	$0
Eric Dahl	AE (Armed Forces Europe)	General Practice Physician	$44.8K	$0
Michael Sanzari	AE (Armed Forces Europe)	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$43.9K
Washeema Jones	AE (Armed Forces Europe)	Acute Care Nurse Practitioner	$29.6K	$0
Gregory Phillips	AE (Armed Forces Europe)	Neurology Physician	$22.7K	$0
Nicole Fee	AE (Armed Forces Europe)	Optometrist	$15.4K	$3.5K
Chelsey Koehler	AE (Armed Forces Europe)	Physical Therapist	$10.9K	$0

Carlina Madelaire — Billing Profile & Reimbursement Data

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Carlina Madelaire — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References